Abstract

Purpose of Review

This review provides a brief summary of what science has postulated about the oral cavity and its relationship to the rest of the body. This article then looks at the emerging body of evidence for a definitive statement on the impact of oral health and disease on overall health and disease. It concludes by examining ways to educate oral healthcare providers (OHCPs) (i.e., dentists and dental hygienists) and their role in educating patients and the public about the interrelationships of oral and overall health and challenges associated with this.

Recent Findings

Since 1989, there have been major advances in understanding the role of periodontal infection and inflammation in contributing to the risk for systemic diseases. As the evidence emerges for an oral-systemic link, new strategies for educating dentistry, medicine, other non-dental healthcare professions, and the public about this link are also emerging.

Summary

Hopefully, a new awareness and understanding of the significance of oral health in sustaining general health lead to a new emphasis for prevention and treatment of periodontal disease.

Hein C. Role of the professional in educating the public about the importance of oral health. In: Genco, RJ, Williams, RC, editors. Periodontal disease and overall health: a clinician’s guide. PAC, Inc. 2014.Google Scholar

• Hunter WD. The role of sepsis and antisepsis in medicine. Lancet. 1911;1:79–86. Dentistry is accused of building gold crowns and bridges onto severely diseased teeth, thus contributing to oral sepsis.Google Scholar

6.

• Billings FA. Focal infection: its broader application in the etiology of general disease. JAMA. 1914;63:899–903. The teeth, tonsils and sinuses are believed to be foci of infection that then disseminates throughout the body causing other diseases.CrossRefGoogle Scholar

•• Tonetti MS, Van Dyke TE. and on behalf of working group 1 of the joint EFP/AAP workshop. Periodontitis and atherosclerotic cardiovascular disease: consensus report of the joint EFP/AAP workshop on periodontitis and systemic diseases. J Clin Periodontal. 2013;40:524–9. Systematic reviews indicate a significant association between the presence of periodontal disease and increased risk for cardiovascular disease.CrossRefGoogle Scholar

14.

•• Chapple ILC, Genco R. and on behalf of working group 2 of the joint EFP/AAP workshop. Diabetes and periodontal diseases: consensus report of the joint EFP/AAP workshop on periodontitis and systemic diseases. J Clin Periodontal. 2013;40:5106–12. Strong evidence exists for a two-way relationship between periodontal disease and diabetes.CrossRefGoogle Scholar

15.

•• Sanz M, Kornman K. and on behalf of working group 3 of the joint EFP/AAP workshop. Periodontitis and adverse pregnancy outcomes: consensus report of the joint EFP/AAp workshop on periodontitis and systemic diseases. J Clin Periodontal. 2013;40:5164–9. Strong evidence exists for a relationship between periodontal disease and the risk for adverse pregnancy outcomes.CrossRefGoogle Scholar

US Department of Health and Human Services. Oral Health in America: A Report of the Surgeon General. Rockville, MD: US Department of Health and Human Services, National Institute of Dental and Craniofacial Research, National Institutes of Health, 2000.Google Scholar